Another nightmare after SARS: knowledge perceptions of and overcoming strategies for H1N1 influenza among chronic renal disease patients in Hong Kong

Qual Health Res. 2010 Jul;20(7):893-904. doi: 10.1177/1049732310367501. Epub 2010 Apr 2.


In this article I demonstrate the knowledge perceptions of and the preventive health behaviors toward the influenza A H1N1 pandemic, or "human swine flu," among the chronic renal disease patients in Hong Kong. Based on ethnographic data from participant observation in a chronic renal disease patient self-help alliance and semistructured interviews with its 30 members, I demonstrate that the participants' knowledge perceptions of and the adoption of the preventive health behaviors against H1N1 were greatly influenced by their past experiences of being stigmatized in the 2003 severe acute respiratory syndrome (SARS) outbreak. In addition, the past experiences in the SARS outbreak not only led the participants to remember their stigmatization experiences in this H1N1 pandemic, but also aroused the memory of the general Hong Kong population that chronic renal disease patients were "dangerous" and "polluted," which could further contribute to their stigmatization in this H1N1 pandemic.

MeSH terms

  • Adult
  • Attitude to Health*
  • Female
  • Health Knowledge, Attitudes, Practice*
  • Hong Kong
  • Humans
  • Influenza A Virus, H1N1 Subtype*
  • Influenza, Human / prevention & control*
  • Interviews as Topic
  • Kidney Failure, Chronic*
  • Male
  • Middle Aged
  • Risk Reduction Behavior*
  • Severe Acute Respiratory Syndrome*
  • Stereotyping